Organization
RESTORATIVE ALTERNATIVE WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M PAZZAGLIA PHD, LCSW, LADC (OWNER)
(405) 237-3780
Entity
Organization
Contact information
Practice address
2310 SW 89TH ST STE D, OKLAHOMA CITY, OK 73159-6313
(405) 237-3780
(405) 237-3781
Mailing address
9404 BUTTONWOOD AVE, MOORE, OK 73160-9137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518571371
NPI
OK
Enumeration date
08/31/2020
Last updated
02/10/2026
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